Martin Andrés, de Carvalho Filho Marco A, Jaarsma Debbie, Duvivier Robbert
Child Study Center, Yale School of Medicine, New Haven, CT, USA.
Simulated Participant Program, Teaching and Learning Center, Yale School of Medicine, New Haven, CT, USA.
Adv Med Educ Pract. 2021 Nov 30;12:1379-1388. doi: 10.2147/AMEP.S336779. eCollection 2021.
Innovations in contemporary medical education could inform remedies to address enduring challenges such as the marginalization and stigmatization of psychiatry, of mental illnesses, and of those affected by them.
In blending the works of Bleakley, Bligh, and Brown (2011) and of Kumagai and Naidu (2015), we developed an overarching heuristic with practical relevance and concrete applications to psychiatric education.
We identify three areas to enhance psychiatric education embedded into this blended framework: 1) , or the more accurate depiction or of mental illnesses and of psychiatric practice, as exemplified by the incorporation into didactic content of asynchronous video-based clinical materials produced with specific educational objectives in mind; 2) , or addressing the problem of mental illnesses, of those living with or affected by them, and of psychiatry as a profession, as exemplified by psychiatrists embracing their role as experts by professional and personal experience when sharing their own journeys with mental illness, treatment, and recovery; and 3) , or reflective psychiatric practice, as exemplified by the novel methodology of co-constructive patient simulation (CCPS), through which learners can engage in reflective practice and supervision in a participatory and democratic setting that does not privilege participants' hierarchical standing.
The blended model and the sample applications we describe offer a range of teaching, learning, and professional development opportunities, should psychiatric educators choose to pursue them and reap their promise.
当代医学教育的创新可为解决长期存在的挑战提供方法,比如精神病学、精神疾病以及受其影响者所面临的边缘化和污名化问题。
通过融合布莱克利、布莱和布朗(2011年)以及熊谷和奈杜(2015年)的著作,我们开发了一种具有实际相关性和具体应用的总体启发式方法用于精神科教育。
我们确定了融入这个综合框架以加强精神科教育的三个领域:1) ,即更准确地描述或呈现精神疾病及精神科实践,比如在教学内容中纳入基于视频的异步临床资料,这些资料是带着特定教育目标制作的;2) ,即解决精神疾病患者、患者家属或受其影响者以及精神科职业所面临的 问题,比如精神科医生在分享自己与精神疾病、治疗及康复的经历时,凭借专业和个人经验承担起专家角色;3) ,即 反思性精神科实践,比如共同建构患者模拟(CCPS)这种新方法,通过该方法学习者可以在不考虑参与者等级地位的参与式和民主环境中进行反思性实践和接受督导。
如果精神科教育工作者选择采用并收获其成果,我们所描述的综合模式及示例应用提供了一系列教学、学习和专业发展机会。